NCT02914873Active, not recruiting
SPCG17: Prostate Cancer Active Surveillance Trigger Trial
SPCG17: Prostate Cancer Active Surveillance Trigger Trial (PCASTT)
Source: ClinicalTrials.gov · Last updated 20 Jan 2026
Brief summary (registry, in English)
A large proportion of men with prostate cancer are overdiagnosed and overtreated mainly due to PSA testing. Active surveillance (AS) aims to reduce these harms by recommending curative treatment only when and if signs of tumor progression occur. There are however a number of uncertainties in AS, the most important being when to initiate treatment. The investigators are therefore starting a large randomized multicenter trial testing the safety of a standardized active surveillance protocol with specified triggers for repeat biopsies and initiation of curative treatment. The standardized protocol is compared with current practice for active surveillance. The primary aim of the study is to reduce overtreatment and subsequent side effects, without increasing the risk of disease progression or prostate cancer mortality.
- Status (registry)
- Active, not recruiting
- Study type
- Interventional
- Enrollment
- 2008 (actual)
- First submitted
- 20 Sept 2016
- Start date
- 3 Oct 2016
- Primary completion date
- Dec 2034
- Lead sponsor
- Uppsala University
- Diseases
- Prostate cancer, Childhood cancers
- NCT number
- NCT02914873
What you commit to
- Study type: Interventional
- Participants enrolled: 2008
- From 3 Oct 2016 to the primary completion date, Dec 2034
- 23 sites in 5 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Other
- none
Who the study is looking for
- Recently (within 12 months) diagnosed adenocarcinoma of the prostate
- Tumor stage less than or equal to T2a, NX, M0
- PSA less than 15 ng/ml, PSA density less than or equal to 0.20 ng/ml/cc
- Gleason pattern 3+3=6 (any number of cores, any cancer involvement)
- Gleason pattern 3+4=7 (less than 3 cores (or less than 30% of cores if more than 10 cores are taken), less than 10 mm cancer in one core)
- Life expectancy more than 10 years with no upper age limit
- Candidate for curative treatment if progression occurs
- Signed written informed consent
Sex: Male · Does not accept healthy volunteers
Sites (23)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Rigshospitalet Coordinator of this site? Confirm its status | Copenhagen | Denmark | Unknown status |
| Odense University Hospital Coordinator of this site? Confirm its status | Odense | Denmark | Unknown status |
| Helsinki University Hospital Coordinator of this site? Confirm its status | Helsinki | Finland | Unknown status |
| Seinäjoki Central Hospital Coordinator of this site? Confirm its status | Tampere | Finland | Unknown status |
| Bedford Hospital Coordinator of this site? Confirm its status | Bedford | United Kingdom | Unknown status |
| Croydon University Hospital Coordinator of this site? Confirm its status | Croydon | United Kingdom | Unknown status |
| Royal Marsden Hospital Coordinator of this site? Confirm its status | London | United Kingdom | Unknown status |
| Queen Elisabeth Hospital Coordinator of this site? Confirm its status | London | United Kingdom | Unknown status |
| Epsom and St Helier Hospital Coordinator of this site? Confirm its status | London | United Kingdom | Unknown status |
| Guy's Hospital Coordinator of this site? Confirm its status | London | United Kingdom | Unknown status |
| Ålesund Regional Hospital Coordinator of this site? Confirm its status | Ålesund | Norway | Unknown status |
| Oslo University Hospital Coordinator of this site? Confirm its status | Oslo | Norway | Unknown status |
| Hospital of Vestfold Coordinator of this site? Confirm its status | Tønsberg | Norway | Unknown status |
| University Hospital of North Norway Coordinator of this site? Confirm its status | Tromsø | Norway | Unknown status |
| St. Olavs University Hospital Coordinator of this site? Confirm its status | Trondheim | Norway | Unknown status |
| Sahlgrenska University Hospital Coordinator of this site? Confirm its status | Gothenburg | Sweden | Unknown status |
| Linkoping University Hospital Coordinator of this site? Confirm its status | Linköping | Sweden | Unknown status |
| Sunderby Regional Hospital Coordinator of this site? Confirm its status | Luleå | Sweden | Unknown status |
| Örebro University Hospital Coordinator of this site? Confirm its status | Örebro | Sweden | Unknown status |
| Sundsvall Regional Hospital Coordinator of this site? Confirm its status | Sundsvall | Sweden | Unknown status |
| Umeå University Hospital Coordinator of this site? Confirm its status | Umeå | Sweden | Unknown status |
| Akademiska University Hospital Coordinator of this site? Confirm its status | Uppsala | Sweden | Unknown status |
| Växjö Hospital Coordinator of this site? Confirm its status | Vaxjo | Sweden | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.